1. In classifying a 14 months old child w/ cough or difficulty of breathing, he has no danger sign, no chest indrawing and his RR is 44 bpm. A. Pneumonia B. No Pneumonia C. Very severe Pneumonia or disease D. Only cough or cold C. Sick children aged 1 month up to 5yrs D. Sick children aged 1 year up to 5yrs 5. In IMCI case management process, assessment is the initial step in checking for the general danger Sx. Except? 2. The objectives of IMCI were: 1. Reduce deaths of a child below 5 yrs old 1. Convulsion and vomiting 2. Unable lethargic 2. Reduce frequency & severity of illness & disability 3. It contributes to growth & development 4. None of the above A. 1,2 C. 1,2,3 B. 2&3 D. 4 only 3. IMCI management includes the ff., SATA (select all that apply). 4. Diarrhea and fever A. 4 only B. 1,2 C. 2,3 D.1,2,3 6. In IMCI, which of the ff. danger signs are to be monitored by the nurse? SATA 1. Cough or difficult breathing 2. Wheezing 2. Classification 3. Diarrhea 3. Treatment 4. Fever A. 1,2 B. 2,3 C. 1,2,3 D. 1,2,3,4 4. The clinical guidelines, which are based on expert clinical opinion and research result, are diagnosed for the management of: A. Sick children aged 1 day up to breastfeed and 3. Chest indrawing and Lethargic 1. Assessment 4. Counsel to A. 1,2 B. 1,2,3 C. 1,2,4 D. 1,2,3,4 7. Nurse Zar performed more than 30mins of thorough CPR w/ baby boy Zandro but no signs of survival, when nurse Zar is going to stop rendering CPR? SATA 1. Regains pulse and breathing 5yrs 2. Too exhausted to continue B. Sick children aged 1 week up to 5yrs 3. A physician tells you to stop Dcmntd: blitz SoO: F.M.R 4. Scene becomes unsafe A. 1,2 B. 1,3 C. Disorientation C. 1,2,3 D. 1,2,3,4 D. Obtundation 8. How long should you check for breathing while performing CPR for an infant? 12. What Glasgow Coma Scale score requires intubation because the airway reflexes are affected? A. Not longer than 10 seconds A. 8 or less B. Do not check for breathing, continues chest compression B. 9 or less C. 10 or less C. 2 seconds D 10 or greater D. 5 seconds 9. Before responding to a first aid scenario, what is the first question you should ask at the scene? 13. The Glasgow Coma Scale (GCS) assesses what areas of response to stimuli? SATA 1. Auditory response A. Age of the injured or ill person 2. Verbal response B. Nature of injury 3. Tactile response C. Time of the injury 4. Eye-opening response D. Safety of the scene 5. Motor response 10. What is the priority nursing intervention when a child is unconscious after a fall? A. assessment Perform neurologic B. Monitor intracranial pressure C. Establish an adequate airway D. Determine whether a neck injury is present 11. A 16yrs old child w/ head injury and w/ minimal response to stimuli. Which term is used to describe a child’s LOC when the child can be aroused w/ stimulation? A. Stupor B. Confusion Dcmntd: blitz SoO: F.M.R A. 1,2 B. 2,3 C. 2,4,5 D. 1,2,3,4,5 14. It has been defined as a “group of permanent disorders of the development of movement and posture, causing activity limitation, that are attributed to non-progressive disturbances that occurred in the developing fetal or infant brain” A. Cretinism B. Anencephaly C. Cerebral Palsy D. Autism Spectrum Disorder 15. You’re caring for a patient w/ hydrocephalus, which of the ff. nursing intervention should you include In your plan of care? hrs A. Monitoring for Sx of increase intracranial pressure (ICP) D. Application adherent dressing B. Head measurement once a week C. Position Trendelenburg position patient on D. All of the above C. Dressing change every 2 to 4 of moist non- 19. 20. It is series of generalized seizures that occur w/out recovery of consciousness A. Epilepsy 16. The ff. are clinical manifestations of hydrocephalus. Please SATA. 1. Bulging fontanels 2. Frontal bossing 3. Enlarged head 4. Sunset eyes A. 1,2,3,4 B. 1,2,3 C. 1,2 D. 1,3 17. The ff. are diagnostic examination to evaluate spina bifida. SATA 1. MRI B. Primary seizure C. Secondary seizure D. Status epilepticus 21. A preschooler was diagnosed w/ seizure disorder, the clinic nurse is teaching preschool teachers interventions after a seizure episode, which one should you include in your plan of care? A. Agitate the maintain consciousness patient B. Place in prone position C. Place in side lying position 2. CT scan D. All of the above 3. Spina bifida 4. Amniocentesis A. 1,2,3,4 B. 1,2,3 C. 2,3 D. 1,4 18. Which of ff. action should you correct if you see being done to a newborn w/ myelomeningocele who will undergo surgical correction? 22. The nurse creates a plan of care for a child at risk for tonic-clonic seizures. In the plan of care, the nurse seizure precautions and documents that which item need to be at the child’s bedside? A. oxygen Suctioning equipment B. Emergency cart A. Diapering the baby C. Tracheostomy set B. Doing ROM exercises D. Padded tongue blade Dcmntd: blitz SoO: F.M.R to and 23. The ff. are causes of dwarfism. SATA 1. GH deficiency 3. Achondroplasia 4. Radiation exposure B. 1,3,4 C. 1,2,3 D. 1,2,3,4 B. 1,2,3,4 C. 1,2 D. 2,3,4 28. You’re doing diet modification health teaching to a mother whose child was diagnosed w/ celiac disease, which of the ff. information should you include in your teaching plan? 2. Genetics A. 1,2 A. 1,2,3 A. Include rice and corn I diet 25. A condition of severely stunted physical and mental growth due to untreated congenital deficiency of thyroid hormones (congenital hypothyroidism) B. Instruct to include wheat and oats in the child’s diet C. Instruct to include gluten rich food in diet D. all of the above 29. A 6 months old infant was rushed to the hospital, the mother said that her child has projectile vomiting and palpable olive-shaped mass in the epigastrium, this are indicative of what disease? A. Cretinism B. Mental retardation C. Cerebral palsy D. Dwarfism 26. You’re caring for a preschooler, diagnose w/ SIADH after surgery, which of the ff. nursing intervention should include in your plan of care. A. Pyloric stenosis A. Increase administration D. Celiac disease intravenous B. Hirschsprung disease C. Intussusception fluid B. Increase oral fluid intake 30. The ff. are clinical manifestations of acute appendicitis. SATA C. Decrease sodium in diet 1. Blumberg sign D. Fluid restriction 2. Rovsing sign 3. Psoas sign 27. The ff. are physical characteristics of a patient w/ Cushing syndrome. SATA 1. Moon face 2. Temporal fat 3. Weight gain 4. Pendulous abdomen Dcmntd: blitz SoO: F.M.R 4. Brudzinski’s sign A. 1,2,3 B. 1,2,3,4 C. 1,2 D. 2,3 31. The ff. are therapeutic management of intussusception. SATA 1. NG decompression 2. reduction Non-surgical B. Abdominal pain and diarrhea hydrostatic 3. Antibiotic therapy D. Ribbon like stool and failure to pass meconium for the next 48 hours 4. Laxative administration A. 1,2 B. 1,2,3 C. 2,3,4 D. 1,2,3,4 32. These 2 clinical manifestations if observed with a newborn is highly suggestive of intussusception. B. Hematochezia and oliguria tenderness and D. Sausage shape mass in the abdomen and currant jelly stool 33. The parents of a newborn is asking you about the 1st stage of the surgical management of their son’s Hirschsprung disease, what should be your response A. 1st stage means complete corrective surgery of the disease B. 1st stage means pre-operative management C. 1st stage means preparation before surgery 35. A 14-month-old toddler underwent palatoplasty, which of the ff. nursing interventions should you avoid doing? A. Vital signs B. Suctioning C. Intake and output monitoring A. Crying and vomiting C. Abdominal constipation C. Abdominal mass and loss of appetite bowel D. 1st stage means means placing temporary ostomy to relieve obstruction D. Mouth care 36. A 9 month old infant underwent cheiloplasty, as the pediatric ward nurse how will you position the patient post operatively? A. Prone position B. Trendelenburg position C. High fowlers position D. Supine position 37. Surgery of choice to diagnose and treat brain tumors. A. Shunt insertion B. Angioplasty C. Surgical brain clipping D. Craniotomy 38. A broad term given to the group of malignant disease of the bone marrow, blood, and lymphatic system? 34. These 2 clinical manifestations if observed with a newborn is highly suggestive of Hirschsprung disease. A. Anemia A. Vomiting distension C. Aplastic anemia Dcmntd: blitz SoO: F.M.R and abdominal B. Bone cancer D. Leukemia 39. Nursing management for a client w/ post radiation theraphy? 43. Which of the ff. clinical manifestations is a presenting sign of Wilm’s tumor? A. Hematuria 1. Shared room B. Anemia 2. Private room 3. Complete bathroom privileges bedrest w/out A. 1,2 B. 2,3 C. 1,3 D. 1,2,3,4 40. Nursing management to a patient w/ alopecia? A. Hard shampoo C. Hair color D. Wigs effect of A. Diarrhea 44. The ff. are nursing care management for eczema for pediatric patients except? A. Fabric conditioners can be used in washing clothes C. Woolen clothes or blankets, rough fabrics, and furry stuffed animals are removed from the child’s environment. D. Baths are given as prescribed; the water is kept tepid; and soaps(except as indicated), bubble baths, oils, and powders are avoided B. Fever C. Sore throat D. Alopecia 42. The ff. are the warning signs of cancer: 1. Change in bladder habits 2. Unusual bleeding or discharge 45. You’re caring for a 2 yrs old infant w/ eczema flare up, you are assisting the toddler after his bath, what should be your next nursing intervention? A. Emollient can’t be applied to a 2-year-old patient 3. Unexplained anemia 4. Sudden weight loss A. 1,2,3,4 B. 2,3 C. 1,2,3 D. 1,2 Dcmntd: blitz SoO: F.M.R that B. Clothes and sheets are laundered in a mild detergent and rinsed thoroughly in clear water B. Not wide toothed comb side mass D. Painless swelling or mass w/in the abdomen 4. Use of diaper 41. Common chemotherapy? C. An abdominal moves w/ respiration B. Do not apply Emollient after bath C. Thoroughly apply the Emollient dry skin then D. Immediately apply Emollient after bath while the skin is still slightly moist. 46. The following are therapeutic management for Px w/ eczema except? A. Enhancing skin hydration and preventing dry, flaky skin. B. Bubble baths and harsh soap is recommended C. Oral anti histamine drugs such as hydroxyzine or diphenhydramine usually relieve moderate or sever pruritus. D. Occasional flare-ups require the use of topical steroids to diminish inflammation 47. Refers to a chronic childhood arthritis, a group of heterogenous chronic autoimmune diseases? A. Juvenile Rheumatoid Arthritis Idiopathic B. Juvenile Idiopathic Carditis C. Juvenile Idiopathic Ankylosis D. Juvenile Idiopathic Arthritis 48. The ff. are facial manifestation of children w/ allergic rhinitis, except? A. Allergic shiners B. Allergic sniff C. Allergic salute D. Allergic Gape 49. Which of the ff. nursing intervention is correct regarding diet and exercise to Px w/ JIA? A. Strictly follow an arthritis diet to decrease joint swelling Dcmntd: blitz SoO: F.M.R B. Obesity is a rare occurrence for patients w/ JIA C. Limit activity to board games to prevent joint injury D. A daily complete multivitamins w/ iron supplements can be taken as dietary supplements 50. The ff. are true about JIA, except? A. Joint x-ray can diagnose JIA B. The cause of JIA is unknown C. Affected joints will be stiff and swollen D. The major goals of theraphy are to control pain, preserve joint Range of Motion and function, minimize the effects of inflammation such as joint deformity, and promote normal growth and development.